Ondansetron injection at UPMC Chautauqua. CPT J2405.
What UPMC Chautauqua publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$19.80cash price (self-pay)
$33.00list price
$0.08–$29.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Independent Health | Commercial | $0.08 |
| Independent Health | Medicare Advantage | $0.08 |
| Geisinger | Medicaid/CHIP | $0.09 |
| Univera | Medicare Advantage | $0.09 |
| Aetna | Medicare | $0.09 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.21 |
| UPMC Health Plan | CHIP | $0.26 |
| UPMC Health Plan | Commercial | $19.80 |
| United Healthcare | Commercial | $21.12 |
| Aetna | Commercial | $21.45 |
| MagnaCare | Direct Plus | $24.75 |
| MagnaCare | PPO | $24.75 |
| Multiplan | PPO (Includes PHCS as a Payer) | $24.75 |
| GHI/Emblem Health | Commercial | $26.40 |
| Humana | Commercial | $26.40 |
| Statewide Independent PPO | PPO | $29.04 |
| Affordable First Health | PPO | $29.70 |
Inpatient
$19.80cash price (self-pay)
$33.00list price
$21.45–$24.94range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $21.45 |
| United Healthcare | Commercial | $21.45 |
| Humana | Commercial | $24.75 |
| MagnaCare | Direct Plus | $24.75 |
| MagnaCare | PPO | $24.75 |
| MagnaCare | No Fault | $24.75 |
| MagnaCare | Workers Compensation | $24.75 |
| Multiplan | PPO (Includes PHCS as a Payer) | $24.75 |
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